Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $3,630.78 / $7,413.10	Facility		$213.80	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $616.60	Professional		$151.36	$257.04	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $489.78	Professional		$190.55	$245.47	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $371.54	Professional		$138.04	$199.53	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $354.81	Facility		$218.78	$251.19	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $588.84	Professional		$323.59	$323.59	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $524.81	Professional		$162.18	$281.84	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $407.38	Professional		$169.82	$269.15	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,311.31 / $10,000.00	Facility		$575.44	$3,311.31	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $426.58	Professional		$144.54	$208.93	$426.58